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California rates for MS-DRG 165

Major chest procedures w/o CC/MCC

Facilitymedian $56,234 · 10th–90th $24,547–$69,1830%20%40%10th90th$56,234$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $50,118.72 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $56,234.13 / $69,183.10
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $34,673.69 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $42,657.95 / $75,857.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $51,286.14 / $81,283.05
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $35,481.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $38,018.94 / $74,131.02